BackgroundMissing data can affect the representativeness and accuracy of survey results, and sexual health‐related surveys are especially at a higher risk of nonresponse due to their sensitive nature and stigma. The purpose of this study was to evaluate the proportion of patients who do not complete the BREAST‐Q Sexual Well‐being relative to other BREAST‐Q modules and compare responders versus nonresponders of Sexual Well‐being. We secondarily examined variables associated with Sexual Well‐being at 1‐year.MethodsA retrospective analysis of patients who underwent breast reconstruction from January 2018 to December 2021 and completed any of the BREAST‐Q modules postoperatively at 1‐year was performed.ResultsThe 2941 patients were included. Of the four BREAST‐Q domains, Sexual Well‐being had the highest rate of nonresponse (47%). Patients who were separated (vs. married, OR = 0.69), whose primary language was not English (vs. English, OR = 0.60), and had Medicaid insurance (vs. commercial, OR = 0.67) were significantly less likely to complete the Sexual Well‐being. Postmenopausal patients were significantly more likely to complete the survey than premenopausal patients. Lastly, autologous reconstruction patients were 2.93 times more likely to respond than implant‐based reconstruction patients (p < 0.001) while delayed (vs. immediate, OR = 0.70, p = 0.022) and unilateral (vs. bilateral, OR = 0.80, p = 0.008) reconstruction patients were less likely to respond. History of psychiatric diagnosis, aromatase inhibitors, and immediate breast reconstruction were significantly associated with lower Sexual Well‐being at 1‐year.ConclusionSexual Well‐being is the least frequently completed BREAST‐Q domain, and there are demographic and clinical differences between responders and nonresponders. We encourage providers to recognize patterns in nonresponse data for Sexual‐Well‐being to ensure that certain patient population's sexual health concerns are not overlooked.

中文翻译：

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乳房重建患者的性健康无反应数据——我们忽视了谁？

背景数据缺失会影响调查结果的代表性和准确性，而性健康相关的调查由于其敏感性和耻辱性，尤其面临更高的不答复风险。本研究的目的是评估相对于其他 BREAST-Q 模块未完成 BREAST-Q 性健康的患者比例，并比较性健康有反应者与无反应者。我们对 1 年时与性健康相关的变量进行了二次检查。方法对 2018 年 1 月至 2021 年 12 月接受乳房再造并在术后 1 年完成任何 BREAST-Q 模块的患者进行了回顾性分析。结果 2941 名患者被包括在内。在四个 BREAST-Q 领域中，性健康的无反应率最高 (47%)。分居患者（与已婚患者相比，OR = 0.69）、主要语言不是英语（与英语，OR = 0.60）且拥有医疗补助保险（与商业保险相比，OR = 0.67）的患者完成该计划的可能性显着降低。性福祉。绝经后患者比绝经前患者更有可能完成调查。最后，自体重建患者的反应可能性是基于种植体的重建患者的 2.93 倍（p< 0.001) 延迟时（相对于立即，OR = 0.70，p= 0.022）和单边（与双边相比，OR = 0.80，p= 0.008) 重建患者的反应可能性较小。精神病学诊断史、芳香酶抑制剂和立即乳房重建与一年时较低的性幸福感显着相关。结论性幸福感是最不常完成的 BREAST-Q 领域，响应者和响应者之间存在人口统计学和临床​​差异。无反应者。我们鼓励提供者认识到性健康无反应数据的模式，以确保某些患者群体的性健康问题不会被忽视。